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Fig. 1E Patient 1 in Table 1.
Coronal maximum-intensity-projection (MIP) images from time-resolved 3D
gadolinium-enhanced gradient-echo subtraction MR angiogram (TR/TE, 3.4/1.3;
25° flip angle; temporal resolution, 6 sec) in 72-year-old woman who had
malfunctioning arteriovenous fistula (AVF). Subsequent images obtained at 12
(B), 18 (C), and 24 (D) sec after contrast injection show
hemodialysis AVF and entire inflow and outflow vessels in one single large
field of view. A high-grade focal venous stenosis 2 cm away from left upper
extremity AVF anastomosis (arrowhead, E) is seen. It is our
experience that earlier time-resolved images help differentiate arterial and
venous anatomy. E, Magnified MIP image of venous stenosis
(arrow). Doppler sonogram (not shown) obtained within 1 month of MR
angiography showed same finding.